Risk Factors for Heart Failure After PCI Treatment in Patients with Acute Myocardial Infarction
Lu Ping
Ma Lihong
Wang Lingling
Abstract：Objective:To analyze the related factors of heart failure(HF)after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods:A retrospective analysis was conducted on the clinical data of 98 AMI patients who underwent PCI admitted to Zhengzhou People's Hospital from January 2020 to January 2021,and the incidence of postoperative HF was recorded.Age,gender and other data of patients were collected to explore the relevant factors for postoperative HF in such patients.Results:Among 98 AMI patients who underwent PCI,a total of 14 cases developed HF,with an incidence rate of 14.29％.Univariate analysis showed that age,ventricular arrhythmia,history of diabetes,myocardial perfusion grade after thrombolytic therapy for postoperative myocardial infarction(TIMI),tumor necrosis factor-α(TNF-α),levels of homocysteine(Hey)and homocysteine(Hey)were related to the occurrence of HF in AMI patients after PCI(x2=7.881,9.638,5.347,6.822;t=22.024,22.883;P＜0.05).Logistic regression analysis showed that age＞60 years old,with ventricular arrhythmia,history of diabetes,TIMI myocardial perfusion grade 0～1,TNF-α,high levels of Hcy and high levels of Hcy are independent risk factors for postoperative HF in AMI patients after PCI(OR=5.278,6.954,4.500,4.741,7.025,7.635;P＜0.05).Conclusion:Age＞60.with ventricular arrhythmia,history of diabetes,TIMI myocardial perfusion grade 0-1,TNF-α,high levels of Hcy and high levels of Hcy are independent risk factors for concurrent HF in AMI patients after PCI.
Keywords：Acute myocardial infarctionPercutaneous coronary interventionHeart failure
Publication Date：2025-02-27
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 404-406 )